REFERRED TO CONSUMER PROTECTION AND PROFESSIONAL LICENSURE, JANUARY 15, 2013

AN ACT

1Amending the act of December 21, 1984 (P.L.1253, No.238),2entitled "An act regulating the practice of speech-language3pathologists, audiologists and teachers of the hearing4impaired; creating the State Board of Examiners in Speech-5Language and Hearing with certain powers and duties; and6prescribing penalties," further providing for title of act,7for short title, for declaration of policy, for definitions,8for creation of board, appointment and term of members and9officers, for powers and duties of board, for license10required and persons and practices not affected and11exclusions, for requirements for licensure, for application12and fees, for examinations, for refusal to issue and13revocation, for requirement of a medical examination, for14renewal fees and records, for limitation of renewal time and15new license and for certification to the board; providing for16use of title; and further providing for enforcement of17certification to board, for impaired professionals, for18penalties, for injunction against lawful practice and for19appropriation.

20The General Assembly of the Commonwealth of Pennsylvania21hereby enacts as follows:

22Section 1. The title and sections 1, 2, 3 and 4 of the act23of December 21, 1984 (P.L.1253, No.238), known as the Speech-24Language and Hearing Licensure Act, are amended to read:

1Regulating the practice of speech-language pathologists[,]and2audiologists [and teachers of the hearing impaired]; creating3the State Board of Examiners in Speech-Language [and Hearing]4Pathology and Audiology with certain powers and duties; and5prescribing penalties.

11It is declared to be the policy of the Commonwealth that the12practice of speech-language pathology and the practice of13audiology are privileges granted to qualified persons and that,14in order to safeguard the public health, safety and welfare; to15protect the public from being misled or receiving treatment by16incompetent, unscrupulous and unauthorized persons; to protect17the public from unprofessional conduct [on the part of]by18qualified speech-language pathologists[,]and audiologists [and19teachers of the hearing impaired]; and to assure the20availability of the highest possible quality of speech-language21[and hearing]pathology and audiology services to the22[communicatively handicapped] people of this Commonwealth, it is23necessary to [regulate persons offering speech-language and24hearing services to the public and persons functioning under the25direction of these specialists]provide regulatory authority26over persons offering speech-language pathology and audiology27services to the public.

2"Audiologist." Any person who is qualified by [training and3experience]education, training and clinical experience and is4licensed under this act to engage in the practice of [the5evaluation, counseling, habilitation and rehabilitation of6individuals whose communicative disorders center in whole or in7part in the hearing function. For the purposes of this paragraph8the words "habilitation" and "rehabilitation" include, but are9not limited to, hearing aid evaluation, fitting, recommendation,10speech reading, auditory training and similar activities. A11person is deemed to be or to hold himself out as being an12audiologist if he offers such services to the public under any13title incorporating the words audiology, audiologist,14audiological consultant, aural rehabilitationist, hearing15audiologist or any similar title or description of service]16audiology. The audiologist is an independent practitioner17providing services in hospitals, clinics, schools, private18practices and other settings in which audiologic services are19relevant. A person is deemed to be, or to hold himself out as20being, an audiologist if he offers such services to the public21under any title incorporating the terms "audiology,"22"audiologist," "audiological consultant," "hearing aid23audiologist" or any variation, synonym, coinage or similar title24that expresses, employs or implies these terms, names or25functions.

26"Board." The State Board of Examiners in Speech-Language27[and Hearing]Pathology and Audiology.

28"Person." Any individual, organization, association,29partnership, company, trust or corporate body, except that [any]30only individuals can be licensed under this act. Any reference

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1in this act to a licensed person shall mean a natural individual2person.

3"Practice of audiology." The application of principles,4methods and procedures related to disorders of the auditory and5vestibular systems. Areas of audiology practice include the6following:

10(2) identification of dysfunction of hearing, balance11and other auditory-related systems by developing and12overseeing hearing and balance-related screening programs for13persons of all ages, including newborn and school screening14programs;

15(3) administration of speech or language screening or16other measures for the purpose of initial identification and17referral of persons with other communicative disorders;

22(14) referral of persons with auditory and vestibular23dysfunction abnormalities to an appropriate physician for24medical evaluation when indicated based upon the25interpretation of the audiologic and vestibular test results.

26"Speech-language pathologist." Any person who is qualified27by training and experience to engage in the practice of the28evaluation, counseling, habilitation and rehabilitation of29individuals whose communicative disorders involve the function30of speech, voice or language. A person is deemed to be or to

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1hold himself out as being a speech-language pathologist if he2offers such services under any title incorporating the words3speech-language pathologist, speech consultant, speech4therapist, speech correctionist, speech clinician, speech5specialist, language pathologist, logopedist, communication6therapist, voice therapist, aphasia therapist, aphasiologist,7communicologist, or any similar title or description of service.

8["Teacher of the hearing impaired." Any person who is9qualified by training and experience to engage in the practice10of providing evaluation and instruction in curriculum-based11material and communication skills appropriate for individuals12whose cognitive and educational development have been affected13primarily by impaired hearing sensitivity. A person is deemed to14be or to hold himself out as being a teacher of the hearing15impaired if he offers such services under any title16incorporating the words teacher of the hearing impaired, teacher17of the acoustically handicapped, teacher of the deaf, teacher of18the acoustically impaired, hearing teacher, teacher of the19aurally handicapped, hearing tutor, tutor of the auditorily20impaired, educator of the deaf or any similar title or21description of service.]

22Section 4. Creation of board; appointment and term of members;23officers.

24(a) Board created.--There is hereby created a departmental25administrative board to be known as the State Board of Examiners26in Speech-Language [and Hearing]Pathology and Audiology which27shall be in the Bureau of Professional and Occupational Affairs28of the Department of State. It shall consist of [ten] eight29members, [nine] seven of whom shall be appointed by the30Governor, by and with the advice and consent of a majority of

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1the members elected to the Senate, who shall be residents of2Pennsylvania for a three-year period immediately prior to3appointment. The Commissioner of Professional and Occupational4Affairs shall serve in his official capacity as the [tenth]5eighth member of the board. [At the first meeting, the appointed6members shall determine, by lot, three members to serve three-7year terms, three members to serve two-year terms and three8members to serve one-year terms, with the exception of the9commissioner.]

10(b) Vacancies.--When the term of each appointed member of11the board ends, the Governor shall appoint his successor for a12term of three years, by and with the advice and consent of a13majority of the members elected to the Senate. Any appointive14vacancy occurring on the board shall be filled by the Governor15by appointment for the unexpired term, by and with the advice16and consent of a majority of the members elected to the Senate.17Board members shall continue to serve until their successors are18appointed and qualified but not longer than six months beyond19the three-year period.

20(c) Qualifications of board.--The board shall consist of the21Commissioner of the Bureau of Professional and Occupational22Affairs, one member who at the time of appointment is engaged in23rendering professional services in speech-language pathology,24one member who at the time of appointment is engaged in25rendering professional services in audiology, [one member who at26the time of appointment is engaged in rendering professional27services as a teacher of the hearing impaired,] two members at28large who are either speech-language pathologists,or29audiologists [or teachers of the hearing impaired], however,30each profession shall not be represented by more than two board

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1members, [two members who are physicians] one member who is a2physicianlicensed to practice medicine in this Commonwealth[,3at least one of whom] who specializes in otolaryngology, and two4members of the public appointed by the Governor from nominations5submitted by the governing boards of groups advocating for the6welfare of the speech-language and hearing handicapped. Of the7initial members, the speech-language pathologists[,] and8audiologists [and teachers of the hearing impaired] shall9possess the necessary qualifications for licensure under this10act. Thereafter, the members of the board who are speech-11language pathologists[,]and audiologists [and teachers of the12hearing impaired] shall be licensed under this act. No public13member appointed under the provisions of this section shall be14affiliated in any manner with professions or occupations15providing health or corrective communications services or16products to communicatively impaired persons. The public members17shall be qualified pursuant to law, including section 813 of the18act of April 9, 1929 (P.L.177, No.175), known as The19Administrative Code of 1929. In addition, no member of the board20shall at the same time be an officer or agent of any Statewide21association or organization representing the professions or22occupations under the jurisdiction of this board.

23(d) Reappointment.--A member of the board shall be eligible24for reappointment. A member shall not be appointed to serve more25than two consecutive terms.

26(e) Compensation; expenses.--The members of the board, other27than the Commissioner of Professional and Occupational Affairs,28shall receive reimbursement for reasonable travel, hotel and29other necessary expenses and $60 per diem when actually engaged30in the performance of their official duties.

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1(f) Meetings of board.--The board shall hold a meeting2within 150 days after the effective date of this act and3annually thereafter in the month prescribed by the board and4elect a chairman, vice chairman and secretary who shall be5members of the board. The board shall meet at such other times6as deemed necessary and advisable by the chairman or by a7majority of its members. Reasonable notice of all meetings shall8be given in the manner prescribed by the board. A majority of9the board shall constitute a quorum at any meeting or hearing.

10(g) Forfeiture.--A member of the board who fails to attend11three consecutive meetings shall forfeit his seat unless the12Commissioner of Professional and Occupational Affairs, upon13written request from the member, finds that the member should be14excused from a meeting because of illness or the death of an15immediate family member.

16Section 2. Section 5 of the act, amended October 18, 200017(P.L.536, No.71), is amended to read:

20(1) To approve the qualifications and fitness of21applicants for licensure, and to adopt and revise rules and22regulations requiring applicants to pass examinations23relating to their qualifications as a prerequisite to the24issuance of a license.

25(2) To adopt and revise rules and regulations consistent26with the law as may be necessary to implement the provisions27of this act. [These rules and regulations shall include, but28not be limited to, codes of ethics for speech-language29pathologists, audiologists and teachers of the hearing30impaired. The codes of ethics shall provide further that,

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1whereas speech-language pathologists,audiologists and2teachers of the hearing impaired provide nonmedical and3nonsurgical services, medical diagnosis and medical treatment4by these persons are specifically to be considered unethical5and illegal.]

6(3) To examine for, deny, approve, issue, revoke,7suspend or renew the licenses of speech-language8pathologist[,audiologist and teacher of the hearing9impaired]and audiologist applicants, and provisional10licenses for audiologists.

11(4) To conduct hearings upon complaints of violations of12this act and the rules and regulations adopted pursuant to13this act, and to prosecute and enjoin all such violations.

14(5) To spend funds necessary for the proper performance15of its assigned duties in accordance with the fiscal and16other laws of this Commonwealth and upon approval by the17Commissioner of Professional and Occupational Affairs.

18(6) To waive examination and educational requirements19and grant a license as provided in sections 6 and 7.

20(7) To establish standards of eligibility for license21renewal. These standards shall include, but not be limited22to, the demonstration of satisfactory completion of 20 clock23hours of continuing education related to the practice of24speech-language pathology[, audiology or teaching the hearing25impaired]and audiology in accordance with board regulations.26No credit may be given for courses in office management or27practice building. The board may waive all or part of the28continuing education requirement to a licensee who shows to29the satisfaction of the board that the licensee was unable to30complete the requirement due to illness, emergency or

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1hardship. The request for a waiver must be made in writing,2with appropriate documentation, and must include a3description of the circumstances sufficient to show why a4licensee is unable to comply with the continuing education5requirement. Waiver requests shall be evaluated by the board6on a case-by-case basis. The board shall send the licensee7written notification of its approval or denial of a waiver8request. The requirement to demonstrate the satisfactory9completion of continuing education shall begin with the10biennial renewal period to be designated by regulation of the11board and following written notice to licensees.

12(8) To promulgate rules and regulations regarding13persons functioning under the direction of audiologists[,] or14speech-language pathologists [and teachers of the hearing15impaired].

16(9) To recognize national professional organizations in17audiology that have established definitions of the practice18of audiology. These organizations shall be the same as those19recognized by the board under the provisions of section 7(b)20(2). The board shall have the power to adopt those21definitions to be the practical definitions of the practice22of audiology for licensees under the board. If one or more of23the recognized national professional organizations amends its24definition, the amended definition cannot be added to the25practice of audiology until it has been adopted by the board26through regulation.

27(10) To recognize national accrediting agencies which28accredit programs of audiology as specified in section297(a)(2).

4(a) Licenses.--Except as provided in subsection (b), no5person may practice or hold himself out as being able to6practice as an audiologist[,]or speech-language pathologist [or7teacher of the hearing impaired] in this Commonwealth unless he8holds a current, unsuspended, unrevoked license issued by the9board. Licensure shall be granted separately in speech-language10pathology[,] or audiology [and teaching of the hearing11impaired].

12(b) Exclusions.--Nothing in this act shall be construed as13preventing or restricting:

14(1) Any person licensed or registered in this15Commonwealth from engaging in the profession or occupation16for which he is licensed or registered, including:

19(ii) A licensed physician or surgeon or a trained20individual under the direction of a licensed physician21doing hearing testing in the office or clinic of the22physician.

23(iii) A hearing aid fitter engaged in the business24of selling and fitting hearing aids, and a hearing aid25dealer engaged in the sale of hearing aids, as provided26in the act of November 24, 1976 (P.L.1182, No.262), known27as the Hearing Aid Sales Registration Law.

28(2) A person who holds a valid credential issued by the29Department of Education in the area of speech or hearing and30who is employed in public or private elementary and secondary

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1schools or institutions chartered by the Commonwealth, or a2person who is employed by the Commonwealth or the Federal3Government as a speech-language pathologist[,] or audiologist4[or teacher of the hearing impaired] from engaging in his5profession or occupation, if the person performs his services6solely within the scope of his employment, or a person7performing hearing testing under section 1402 of the act of8March 10, 1949 (P.L.30, No.14), known as the Public School9Code of 1949.

10(3) The activities of a student or trainee who is11pursuing a program of study supervised by a person licensed12under this act or otherwise exempt by this section which lead13to a degree in audiology[, teaching the hearing impaired] or14speech-language pathology[at]from an accredited college or15university, if such individual is designated by a title16clearly indicating his student or training status.

17(4) The practice of speech-language pathology, audiology18or teaching the hearing impaired in this Commonwealth by any19person not a resident of this Commonwealth who is not20licensed under this act if the person meets the21qualifications and requirements for licensure described in22section 7, or who is licensed under the law of another state23having licensure requirements determined by the board to be24at least equivalent to those established by section 7, and if25the services are performed for no more than five days in any26calendar year in cooperation with a speech-language27pathologist[,] or audiologist [or teacher of the hearing28impaired] licensed under this act.

29(5) A corporation, partnership, trust, association,30company or other similar form of organization from engaging

7(a) In general.--Except as provided in subsections (b) and8(c), to be eligible for licensure by the board as a speech-9language pathologist, audiologist or teacher of the hearing10impaired, an applicant shall pay a fee as established by the11board in accordance with section 8(a), be of good moral12character to the satisfaction of the board, pass an examination13and:

14(1) For the license in speech-language pathology,15possess a master's degree in speech-language pathology or its16equivalent from an accredited academic institution. In17addition, the applicant must have at least one year of18supervised professional experience in the field of speech-19language pathology.

20(2) For the license in audiology, possess a master's21degree or doctoral degree in audiology [or its equivalent]22from an [accredited academic institution. In addition, the23applicant]academic program accredited by an accrediting24agency approved by the board and the United States Department25of Education or the Council for Higher Education26Accreditation under standards pursuant to this act. Master's27degree applicants must have at least [one year]nine months28of supervised professional experience in the field of29audiology. Beginning January 1, 2014, all new applicants must30possess a doctoral degree in audiology as determined by the

2[(3) For licensure as a teacher of the hearing impaired,3possess a master's degree in education of the hearing4impaired or its equivalent from an accredited academic5institution. In addition, the applicant must have at least6one year of supervised professional experience in the field7of teaching the hearing impaired.]

8(b) Waivers.--The board may waive the examination and9educational requirements for any of the following:

10(1) Applicants who present proof of [current11certification or licensure]a currently valid license to12practice audiology in a state which has standards determined13by the board to be at least equal to those for licensure in14this Commonwealth.

15(2) Applicants who hold a currently valid and16appropriate Certificate of Clinical Competence from the17Council [of Professional Standards]for Clinical18Certification of the American [Speech-Language and Hearing]19Speech-Language-Hearing Association or certification from a20national credentialing organization that is recognized by the21board from standards pursuant to this act. Notice of22standards shall be published in the Pennsylvania Bulletin.

23[(3) Applicants who hold a currently valid professional24certificate issued by the Council on Education of the Deaf in25compliance with its standards for the certification of26teachers of the hearing impaired and who have completed an27additional ten graduate academic credits established by the28board to be appropriate for licensure as a teacher of the29hearing impaired.]

1waive the examination and educational requirements for any2applicant who, on the effective date of this act:

3(1) has at least a bachelor's degree with a major in4speech-language pathology[,]or a master's degree in5audiology [or teaching the hearing impaired] from an6accredited college or university, and who has been employed7as a speech-language pathologist[,] or audiologist [or8teacher of the hearing impaired] for at least nine9consecutive months within three years prior to the effective10date of this act; and

11(2) files an application with the board providing bona12fide proof of the degree and employment together with the13application fee prescribed in section 8.

15(1) The board may, in accordance with the provisions of16this section, issue a provisional license in audiology to17applicants who have met all of the requirements for licensure18under this act except for the completion of the clinical19fellowship necessary to receive either the Certificate of20Clinical Competence from the Council For Clinical21Certification of the American Speech-Language-Hearing22Association or certification from another national23credentialing organization as recognized by the board24pursuant to section 7(b)(2). In order to receive the license,25the applicant must submit an application for the provisional26license to the board on a form prescribed by the board. The27form must indicate the applicant's plans for completing the28clinical fellowship and must be accompanied by an application29fee determined by the board. A provisional license issued30under this section shall be valid for a maximum of 18 months

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1and may be renewed one time. The purpose of the provisional2license is solely to allow individuals to practice audiology3under appropriate supervision while completing the4postgraduate professional experience required for5certification under section 7(b)(2). A person holding a6provisional license is authorized to practice audiology only7while working under the supervision of a person fully8licensed in this Commonwealth in accordance with this act.

9(2) Any person who is qualified by education, training10and clinical experience by completing all educational11requirements, including the externship of an Au.D. Program12may hold a provisional license, provided that the provisional13license shall only be valid for six months from the time of14application for the permanent license.

15(3) A person holding a valid license in another state to16practice audiology and who has applied for a license in this17Commonwealth under the provisions of this act may practice18audiology while working under the supervision of a person19fully licensed in this Commonwealth for not more than 90 days20while awaiting approval of the license application.

22(a) Fee.--An application for [examination and] license shall23be accompanied by a nonrefundable application [and examination]24fee in an amount established by the board by regulation and25shall be subject to review in accordance with the act of June2625, 1982 (P.L.633, No.181), known as the Regulatory Review Act.27If the revenues generated by fees, fines and civil penalties28imposed in accordance with the provisions of this act are not29sufficient to match expenditures over a two-year period, the30board shall increase those fees by regulation, subject to review

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1in accordance with the Regulatory Review Act, such that the2projected revenues will meet or exceed projected expenditures.3If the Bureau of Professional and Occupational Affairs4determines that fees established by the board are inadequate to5meet the minimum enforcement efforts required, then the bureau,6after consultation with the board, shall increase the fees by7regulation, subject to review in accordance with the Regulatory8Review Act, such that adequate revenues are raised to meet the9required enforcement effort.

10(b) Affidavit.--Each application shall be accompanied by an11affidavit or affirmation of the applicant as to its verity. Any12applicant who knowingly or willfully makes a false statement in13his application shall be subject to prosecution for perjury.

14(c) Examinations.--The board shall offer at least two15examinations for licensure each year. Notice of examinations16shall be given at least 60 days prior to their administration.

17(d) Record of examination scores.--The board shall maintain18a permanent record of all examination scores.

19(e) Disposition and use of fees.--Fees shall be collected by20the board through the Bureau of Professional and Occupational21Affairs and shall be paid into the Professional Licensure22Augmentation Account established pursuant to and for use in23accordance with the act of July 1, 1978 (P.L.700, No.124), known24as the Bureau of Professional and Occupational Affairs Fee Act.

27(a) Preparation of examinations.--All written examinations28shall be prepared and administered by a qualified professional29testing organization under contract with the Bureau of30Professional and Occupational Affairs and approved by the board,

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1except that national uniform examinations or grading services or2both shall be used if available. No board member shall have a3financial interest in a professional testing organization. This4section shall not apply to any oral, practical or other5nonwritten examination which may be required by the board.

6(b) Cost of examinations.--The purpose of the examination7fee which is to be established in accordance with section 8(a)8is to insure that the applicant's fees cover the entire cost of9the examination and administration. Cost is all contractual10charges relating to the preparing, administering, grading and11recording of the examination.]

12Section 5. Section 10 of the act is amended by adding a13paragraph to read:

20(7) The audiologist is unable to practice his profession21with reasonable skill and safety because of illness,22drunkenness, excessive use of controlled substances,23chemicals or other types of materials or as the result of a24mental or physical condition. In enforcing this paragraph,25the board shall, upon probable cause, have the authority to26compel a licensee to submit to a mental or physical27examination as designated by the board. After notice,28hearing, adjudication and appeal as provided for in section2911, failure of a licensee to submit to such examination when30directed shall constitute an admission of the allegations

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1against him unless failure is due to circumstances beyond his2control, consequent upon which a default and final order may3be entered without the taking of testimony or presentation of4evidence. A licensee affected under this paragraph shall at5reasonable intervals be afforded an opportunity to6demonstrate that he or she can resume a competent practice of7audiology with reasonable skill and safety to patients.

11[(a) Medical examination.--Before an audiologist initiates12aural rehabilitation for an individual, there shall be a medical13examination verifying that there are no diseases of the ear14requiring medical or surgical treatment.

15(b) Waiver.--This section does not apply if an individual16signs a written waiver as set forth in this section. The waiver17must be read and explained in such a manner that the individual18will be thoroughly aware of the consequences of signing the19waiver. The waiver form shall read as follows:

20I have been advised by (audiologist's name) that the21Commonwealth of Pennsylvania has determined that my best health22interest would be served if I had a medical examination by a23licensed physician before the initiation of aural24rehabilitation. I do not wish a medical examination before the25initiation of aural rehabilitation.

4[Any person who fails to renew his license within five years5after the date of its expiration may not renew it, and it may6not be restored, reissued or reinstated thereafter, but the7person may apply for and obtain a new license if he meets the8requirements of this act]A renewal of a license shall not be9granted more than five years after its expiration. A license10shall be renewed after the five-year period only after a11licensee has assured continued competency to practice audiology12in accordance with regulations established by the board.

15A licensed audiologist who holds a doctoral degree in16audiology or a related field may use the title "Doctor" or "Dr."17on written materials only if the earned doctoral designation18abbreviation accompanies the licensee's name. A licensee who is19not also licensed to practice medicine or osteopathy in this20Commonwealth may not attach to his name or use as a title the21words or abbreviations "Doctor" or "Dr." in contravention of22this section, "M.D.," "physician," "surgeon," "D.O." or any word23or abbreviation that suggests that the licensee practices24medicine or osteopathy.

28(a)Whoever violates any provision of this act is guilty of29a misdemeanor, shall be prosecuted by the board or its agents30and, upon conviction, shall be sentenced to imprisonment for not

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1more than six months or to pay a fine of not less than $100 nor2more than $1,000, or both. Each violation shall be deemed a3separate offense. Fines collected under the provisions of this4act shall be paid into the State Treasury for the use of the5Commonwealth.

6(b) In addition to any other civil remedy or criminal7penalty provided for in this act, the board, by a vote of the8majority of the maximum number of the authorized membership of9the board as provided by law, may levy a civil penalty of up to10$10,000 on any current licensee who violates any provision of11this act, or on any person who practices as a speech-language12pathologist or audiologist or holds himself forth as a speech-13language pathologist or audiologist without being properly14licensed to do so under this act. The board shall levy this15penalty only after affording the accused party the opportunity16for a hearing as provided in 2 Pa.C.S. (relating to17administrative law and procedure).

19[After 12 months from the effective date of this act, it]It20shall be unlawful for any person to practice or attempt to offer21to practice audiology[,]or speech-language pathology [or22teaching the hearing impaired] without holding a valid unrevoked23and unsuspended license issued under this act. The unlawful24practice of audiology[,]or speech-language pathology [or25teaching the hearing impaired] may be enjoined by the courts on26petition of the board or its agents. In any proceeding it shall27not be necessary to show that any person is individually injured28by the complained of actions. If the respondent is found guilty29of the unlawful practice, the court shall enjoin him from30practicing until he has been duly licensed. Procedure in these

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1cases shall be the same as in any other injunction suit. The2remedy by injunction is in addition to criminal prosecution and3punishment.

6The sum of $75,000, or as much thereof as may be necessary,7is hereby appropriated from the Professional Licensure8Augmentation Account within the General Fund to the Bureau of9Professional and Occupational Affairs in the Department of State10for the establishment and operation of the State Board of11Examiners in Speech-Language and Hearing. The appropriation12granted shall be repaid by the board within three years of the13beginning of issuance of licenses by the board.]

14Section 10. Within 30 days of the effective date of this15section, the State Board of Examiners in Speech-Language16Pathology and Audiology shall meet and reorganize in such a17manner that the board position of teacher of the hearing18impaired and the board position of physician who is not an 19otolaryngologist are abolished.